CMS Price Transparency Data

X-ray, ankle

Facility: HCA Houston Healthcare West

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $281
  • Cash Discount Price: $2,784
  • vs. Medicare Baseline: 3.16x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at HCA Houston Healthcare West is $281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,784. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.16x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$2,784

Average discount available for prompt cash payment at this facility.

Insurance Median
$281

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $2,784 (3131%)
Insurance Median: $281 (316%)
Cash: $2,784 (3131% of Medicare)
Ins. Median: $281 (316% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 316% of the Medicare baseline (a markup of 216%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Texas Health Network $36 40%
Amerigroup $37 42%
Community Health Choice Mcd $37 42%
Texas Childrens Health Plans $37 - $462 42%
United $38 - $1,253 43%
Aetna $40 - $304 45%
Molina Healthcare $40 45%
Humana $46 - $397 52%
Cigna $104 - $2,227 117%
Blue Cross Blue Shield $140 - $974 157%
Superior Health Plan $167 188%
Texas Workforce Commission $668 751%
Healthcare Highways $710 799%
Evry Health $760 855%
Imagine Health $974 1095%
Christus (Usfhp) $1,114 1253%
Curative Administrators $1,114 1253%
Healthsmart Preferred Care $1,197 - $2,366 1346%
Averde Health $1,253 1409%
Fidelis Securecare Of Tx $1,253 1409%
Coventry National First Health $1,484 1669%
Physicians Cooperative Of Texas $1,531 1722%
Rockport Workers Comp $1,531 1722%
Independent Medical System $1,670 1878%
National Healthcare Solutions $1,670 1878%
Southwest Medical $1,670 1878%
Triumph $1,670 1878%
Coastal Comp $1,810 2036%
Multiplan $2,088 - $2,366 2348%
Physicians, Inc $2,366 2661%
Affiliated Ppo $2,506 2819%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals